Specialties Neuro
Published Apr 16, 2004
You are reading page 6 of You know you're a neuro nurse if.....
mskate
280 Posts
Atropine works based on a vagus nerve response with your parasympathetic nervous system which will be gone with a herniation. Hit 'em hard with epi and vaso - although, once you have a full, real herniation - probably better to reach for the phone to call the organ donor team!!
Nccity2002, MSN, RN
208 Posts
When in response to "show me two finger" , you get the middle finger...:nono:
matto
1 Post
you know you're a neuro nurse when....
you spend half your time waking a sedated pt to do their GCS etc and the other half sedating them and telling them to go back to sleep...its a vicious cycle.
JoeCrow
6 Posts
your patient has a GCS of 15 but you still get an order for restraints and a foley catheter
you've actually spent time finding little spots where you can see your pt but they cannot see you (so you know they are safe but will not yell at you)
you've ever discussed with teammates who will play the roles of good cop and bad cop
you've ever gotten applause or oohs and ahhs from family members when doing a neurocheck (they always seem to think they are brain dead or something)
you've ever been scolded by a family when the pt coughed or started seizing and you didn't come quick enough (as if there was anything you could do)
you've ever struggled with a two patient assignment when one of them was a "celestial discharge"
you've ever secretly laughed at a family's anthropomorphism of their brain dead patient
MeTheRN, BSN, MSN, RN
228 Posts
You're cautious about how much you strain when you defecate because you don't want to end up in a neuro ICU
fiveofpeep
1,237 Posts
your patient has a GCS of 15 but you still get an order for restraints and a foley catheteryou've actually spent time finding little spots where you can see your pt but they cannot see you (so you know they are safe but will not yell at you)
story of my life ^
GrnHonu99, RN
1,459 Posts
if you have ever wanted to make a recording of yourself saying:
it's ok..just go, you have a foley!
or youve said more than once, "ok go ahead, pull it out, im sure you'll only do it once"
or..."if you pull out the foley you are going to break your member and it will never work again:)"
Don't touch that, you'll get an infection!
No! I will not give you scissors to cut the restraints off.
When youve made the pt mad so you leave, come back in and reintroduce yourself as another nurse and all is well in neuro land...jeez that evil jane, i know shes awful...:)
Your favorite pt is vented, sedated, tied down with no family.
When you want to throw a chart at a resident when a neuro pt comes back from the OR with a ******* 20 g PIV in their forearm!!! REALLY!?
or..if you;ve ever walked into a room where a crazy neuro pt had escaped restraints, disconnected the EVD at the port and is now sipping it like a straw....even grins at you and says MMMMMMM:) (those are two drink days LOL)
mommyx1
5 Posts
When the offgoing nurse mentions that the patients blood pressure has suddenly shot up, and you ask if they've gotten an order for a vasopressor yet:)
When being told that the patient is walking and talking you are disappointed.
When preparing to insert an NGT into a frontal lobe patient, you go ahead and grab the patient a face mask. (spit in the face, anyone?)
RachelRN2B
8 Posts
You know your a neuro nurse when:
you start doing neuro checks to your grandmother at the drop of a hat.
you walk to the room slowly when someone yells, "pt in __ is seizing"
learn to juggle IV lines and precarious sheaths with pressure bags instead of balls.
So true! :lol2:
cheesey_mcflavius
12 Posts
You know you're a neuro nurse when...temp = 103, wbc = 21, pt is having course crackles, and coughing up yellowish phlegm, and doctors diagnose it as neurogenic fever while waiting 3 days to show positive cultures.
Joe V
8 Articles; 2,493 Posts
An oldie but I was LOL